Healthcare Provider Details

I. General information

NPI: 1346173101
Provider Name (Legal Business Name): ADEK LUX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 RAINER RD
BROOKHAVEN PA
19015-1942
US

IV. Provider business mailing address

1524 RAINER RD RAINER
BROOKHAVEN PA
19015-1942
US

V. Phone/Fax

Practice location:
  • Phone: 484-480-0977
  • Fax:
Mailing address:
  • Phone: 484-480-0977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. YAKESHA ANTWANA FLOYD
Title or Position: CRANIAL PROSTHESIS
Credential:
Phone: 484-480-0977